Appl Clin Inform - Healthcare Information Systems to Assess Influenza Outbreaks: An analysis of the 2009 H1N1 Epidemic in Buenos Aires.

Tópicos

{ time(1939) patient(1703) rate(768) }
{ risk(3053) factor(974) diseas(938) }
{ ehr(2073) health(1662) electron(1139) }
{ monitor(1329) mobil(1314) devic(1160) }
{ data(2317) use(1299) case(1017) }
{ data(3008) multipl(1320) sourc(1022) }
{ record(1888) medic(1808) patient(1693) }
{ patient(2837) hospit(1953) medic(668) }
{ group(2977) signific(1463) compar(1072) }
{ use(976) code(926) identifi(902) }
{ detect(2391) sensit(1101) algorithm(908) }
{ general(901) number(790) one(736) }
{ age(1611) year(1155) adult(843) }
{ decis(3086) make(1611) patient(1517) }
{ studi(2440) review(1878) systemat(933) }
{ concept(1167) ontolog(924) domain(897) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ blood(1257) pressur(1144) flow(957) }
{ medic(1828) order(1363) alert(1069) }
{ activ(1138) subject(705) human(624) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ method(1219) similar(1157) match(930) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ method(1557) propos(1049) approach(1037) }
{ studi(1410) differ(1259) use(1210) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ use(1733) differ(960) four(931) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

JECTIVE: To determine whether a private HIS could have detected the influenza epidemic outbreaks earlier through changes in morbidity and mortality patterns.METHODS: Data Source included a health information system (HIS) from an academic tertiary health care center integrating administrative and clinical applications. It used a local interface terminology server which provides support through data autocoding of clinical documentation. Specific data subsets were created to compare the burden of influenza during the epidemiological week (EW) 21 to 26 for years 2007 to 2009 among 150,000 Health Maintenance Organization members in Argentina. The threshold for identifying an epidemic was considered met when the weekly influenza-like illness (ILI) rate exceeded 200 per 100,000 visits. Case fatality rates and mortality rates of severe acute respiratory infection (SARI) from 2007 to 2009 were retrospectively compared. Case fatality rates and mortality rates for A/H1N1 influenza 2009 also were estimated.RESULTS: The HIS detected the outbreak in EW 23 while the government Ministry of Health (MoH) gave a national epidemic alert during EW 25. The number of visits for ILI increased more than fourfold when comparing 2009 to the period 2007-2008. The SARI mortality rate in 2009 was higher than in 2008 (RR 2.8; 95%CI 1.18-6.63) and similar to that of 2007 (RR 1.05; 95%CI 0.56-1.49). 2009 was the first year with mortalities younger than 65 years attributable to SARI. The estimated A/H1N1 case fatality rate for SARI was 6.2% (95%CI 2.5 to 15.5) and A/H1N1 mortality rate was 6 per 100,000 (95%CI 0 to 11.6).CONCLUSION: Our HIS detected the outbreak two weeks before than the MoH gave a national alert. The information system was useful in assessing morbidity and mortality during the 2009 influenza epidemic H1N1 outbreak suggesting that with a private-public integration a more real-time outbreak and disease surveillance system could be implemented.

Resumo Limpo

jectiv determin whether privat detect influenza epidem outbreak earlier chang morbid mortal patternsmethod data sourc includ health inform system academ tertiari health care center integr administr clinic applic use local interfac terminolog server provid support data autocod clinic document specif data subset creat compar burden influenza epidemiolog week ew year among health mainten organ member argentina threshold identifi epidem consid met week influenzalik ill ili rate exceed per visit case fatal rate mortal rate sever acut respiratori infect sari retrospect compar case fatal rate mortal rate ahn influenza also estimatedresult detect outbreak ew govern ministri health moh gave nation epidem alert ew number visit ili increas fourfold compar period sari mortal rate higher rr ci similar rr ci first year mortal younger year attribut sari estim ahn case fatal rate sari ci ahn mortal rate per ci conclus detect outbreak two week moh gave nation alert inform system use assess morbid mortal influenza epidem hn outbreak suggest privatepubl integr realtim outbreak diseas surveil system implement

Resumos Similares

Telemed J E Health - Hot spot: impact of July 2011 heat wave in southern Italy (Apulia) on cardiovascular disease assessed by emergency medical service and telemedicine support. ( 0,804546536507635 )
Comput Methods Programs Biomed - Influenza vaccination and reduction in risk of ischemic heart disease among chronic obstructive pulmonary elderly. ( 0,788015340071931 )
J Telemed Telecare - Utilization of home telemonitoring in patients 75 years of age and over with complex heart failure. ( 0,736671611674652 )
BMC Med Inform Decis Mak - Relationship between the population incidence of pertussis in children in New South Wales, Australia and emergency department visits with cough: a time series analysis. ( 0,731324570340633 )
Int J Med Inform - Effects of electronic medical record in a Chinese hospital: a time series study. ( 0,723262776360273 )
Telemed J E Health - Is telemedicine an answer to reducing 30-day readmission rates post-acute myocardial infarction? ( 0,715999178858827 )
Med Decis Making - Too much of a good thing? When to stop catch-up vaccination. ( 0,712773929087471 )
Telemed J E Health - Detection of asymptomatic paroxysmal atrial fibrillation with the trans-telephonic electrocardiograph system. ( 0,690238011509785 )
Methods Inf Med - Spatial repolarization heterogeneity and survival in Chagas disease. ( 0,679626910824041 )
Appl Clin Inform - A Computerized Alert Screening for Severe Sepsis in Emergency Department Patients Increases Lactate Testing but does not Improve Inpatient Mortality. ( 0,677421207267217 )
J. Med. Internet Res. - Clinical outcome and cost-effectiveness of a synchronous telehealth service for seniors and nonseniors with cardiovascular diseases: quasi-experimental study. ( 0,675942580729068 )
Appl Clin Inform - Effects of automated immunization registry reporting via an electronic health record deployed in community practice settings. ( 0,665699076019213 )
Med Decis Making - Whose costs and benefits? Why economic evaluations should simulate both prevalent and all future incident patient cohorts. ( 0,66444913261316 )
J Telemed Telecare - Factors affecting frequency of patient use of Internet-based telemedicine to manage cardiovascular disease risk. ( 0,653629273138468 )
Comput Math Methods Med - Risk factors for mortality among 2009 A/H1N1 influenza hospitalizations in Maricopa County, Arizona, April 2009 to March 2010. ( 0,651834252227268 )
J Telemed Telecare - Using telemonitoring to construct knowledge about homebound patient populations: vital-signs alert rates. ( 0,650128189800359 )
J Am Med Inform Assoc - Effectiveness of an automated surveillance system for intensive care unit-acquired infections. ( 0,649311378491568 )
BMC Med Inform Decis Mak - Effectiveness of a novel and scalable clinical decision support intervention to improve venous thromboembolism prophylaxis: a quasi-experimental study. ( 0,647918835229325 )
J Clin Monit Comput - Electrocardiogram characteristics prior to in-hospital cardiac arrest. ( 0,6475845692737 )
Med Decis Making - Patient time costs associated with sensor-augmented insulin pump therapy for type 1 diabetes: results from the STAR 3 randomized trial. ( 0,646608626372944 )
Telemed J E Health - Robotic telepresence versus standardly supervised stroke alert team assessments. ( 0,635843145240561 )
J. Med. Internet Res. - Importance of Internet surveillance in public health emergency control and prevention: evidence from a digital epidemiologic study during avian influenza A H7N9 outbreaks. ( 0,629360859531842 )
BMC Med Inform Decis Mak - Automated comparison of last hospital main diagnosis and underlying cause of death ICD10 codes, France, 2008-2009. ( 0,624180101942864 )
Int J Med Inform - Effects of a short text message reminder system on emergency department length of stay. ( 0,619741537723166 )
J Telemed Telecare - Non-response in telephone surveys of COPD patients does not introduce bias. ( 0,616650341729152 )
AMIA Annu Symp Proc - Semantic interoperability of Health Risk Assessments. ( 0,613919640176954 )
Spat Spatiotemporal Epidemiol - Spatio-temporal analyses of highly pathogenic avian influenza H5N1 outbreaks in the Mekong River Delta, Vietnam, 2009. ( 0,613889369765714 )
Med Decis Making - Modeling the Effect of Herd Immunity and Contagiousness in Mitigating a Smallpox Outbreak. ( 0,61185372637215 )
BMC Med Inform Decis Mak - Real-time automatic hospital-wide surveillance of nosocomial infections and outbreaks in a large Chinese tertiary hospital. ( 0,61058133205883 )
J Clin Monit Comput - Impact of non invasive and beat-to-beat arterial pressure monitoring on intraoperative hemodynamic management. ( 0,609449840539138 )
J. Med. Internet Res. - A novel evaluation of World No Tobacco day in Latin America. ( 0,608257883115643 )
J Med Syst - Variability of subspecialty-specific anesthesia-controlled times at two academic institutions. ( 0,603101559382625 )
J. Med. Internet Res. - Online social network use by health care providers in a high traffic patient care environment. ( 0,600432738813234 )
Int J Health Geogr - Automated surveillance of 911 call data for detection of possible water contamination incidents. ( 0,59863460211979 )
Telemed J E Health - Emergency department physician telemedical triage. ( 0,598330481520211 )
Int J Health Geogr - Cardiovascular disease occurrence in two close but different social environments. ( 0,595905158391415 )
BMC Med Inform Decis Mak - Interdisciplinary decision making in prostate cancer therapy - 5-years' time trends at the Interdisciplinary Prostate Cancer Center (IPC) of the Charit? Berlin. ( 0,595687746557806 )
Appl Clin Inform - Innovative telemonitoring system for cardiology: from science to routine operation. ( 0,594336982450028 )
Telemed J E Health - Improved access and cycle time with an in-house patient-centered teleglaucoma program versus traditional in-person assessment. ( 0,593553595248759 )
Int J Health Geogr - Ecological analysis of social risk factors for Rotavirus infections in Berlin, Germany, 2007-2009. ( 0,590381119736199 )
J. Med. Internet Res. - An analysis of online evaluations on a physician rating website: evidence from a German public reporting instrument. ( 0,589926239434872 )
J. Med. Internet Res. - Impact of health portal enrollment with email reminders on adherence to clinic appointments: a pilot study. ( 0,588512076838261 )
Int J Health Geogr - National variation in United States sepsis mortality: a descriptive study. ( 0,588161149996336 )
Comput Methods Programs Biomed - Infection risk in patients with rheumatoid arthritis treated with etanercept or adalimumab. ( 0,587317620698516 )
J Telemed Telecare - Telemedicine-supported insulin optimisation in primary care. ( 0,58700554367364 )
Med Biol Eng Comput - Non-invasive diagnosis of risk in dengue patients using bioelectrical impedance analysis and artificial neural network. ( 0,585797251205878 )
Telemed J E Health - Feasibility and promise of a remote-delivered preconception motivational interviewing intervention to reduce risk for alcohol-exposed pregnancy. ( 0,585400245810156 )
J Telemed Telecare - Evaluation of a telemedical care programme for patients with Parkinson's disease. ( 0,585260841013973 )
Med Biol Eng Comput - Quantitative measurement of hip protector use and compliance. ( 0,583969452536647 )
Int J Med Inform - Implementation of an electronic medical record does not change delivery of preventive care for HIV-positive patients. ( 0,581806188410807 )
J Med Syst - A novel medium access control protocol with low delay and traffic adaptivity for wireless body area networks. ( 0,57889992655128 )
Comput Math Methods Med - Mathematical model of the impact of a nonantibiotic treatment for Clostridium difficile on the endemic prevalence of vancomycin-resistant enterococci in a hospital setting. ( 0,578686346048042 )
J. Med. Internet Res. - Online doctor reviews: do they track surgeon volume, a proxy for quality of care? ( 0,578643669318361 )
J Am Med Inform Assoc - Use of electronic clinical documentation: time spent and team interactions. ( 0,57833834772678 )
Int J Med Inform - Implementation of computerized provider order entry in a neonatal intensive care unit: Impact on admission workflow. ( 0,577888609056554 )
Healthc (Amst) - Effects of implementing a protocol for arterial blood gas use on ordering practices and diagnostic yield. ( 0,577266198513624 )
Int J Health Geogr - Spatial variability of climate effects on ischemic heart disease hospitalization rates for the period 1989-2006 in Quebec, Canada. ( 0,574744055278026 )
Telemed J E Health - Clinical and economic impact of remote monitoring on the follow-up of patients with implantable electronic cardiovascular devices: an observational study. ( 0,573348582734121 )
Telemed J E Health - Telephotography in trauma: a 2-year clinical experience. ( 0,572227916479799 )
BMC Med Inform Decis Mak - Detecting and diagnosing hotspots for the enhanced management of hospital Emergency Departments in Queensland, Australia. ( 0,570582326789807 )
Telemed J E Health - Home-based preventative care in high-risk dialysis patients: a pilot study. ( 0,568790503478368 )
Appl Clin Inform - Classifying health information technology patient safety related incidents - an approach used in Wales. ( 0,568199243450432 )
J Am Med Inform Assoc - Electronic medical record systems are associated with appropriate placement of HIV patients on antiretroviral therapy in rural health facilities in Kenya: a retrospective pre-post study. ( 0,567925766530047 )
Int J Med Inform - Implementation and evaluation of an integrated computerized asthma management system in a pediatric emergency department: a randomized clinical trial. ( 0,566944889014863 )
Appl Clin Inform - Evaluating the impact of the electronic health record on patient flow in a pediatric emergency department. ( 0,566887070103201 )
J Am Med Inform Assoc - Use of IndiGO individualized clinical guidelines in primary care. ( 0,564944224908387 )
Int J Med Inform - Learning from Taiwan patient-safety reporting system. ( 0,564389458938208 )
Int J Med Robot - Angiographic evaluation of graft patency in robotic-assisted coronary artery bypass surgery: 8 year follow-up. ( 0,561197821911176 )
AMIA Annu Symp Proc - Phenome based analysis as a means for discovering context dependent clinical reference ranges. ( 0,560751500823453 )
J Am Med Inform Assoc - The effectiveness of a new generation of computerized drug alerts in reducing the risk of injury from drug side effects: a cluster randomized trial. ( 0,559844423065132 )
AMIA Annu Symp Proc - I am Not Dead Yet: Identification of False-Positive Matches to Death Master File. ( 0,559295829930627 )
J Telemed Telecare - User engagement with and attitudes towards an interactive SMS reminder system for patients with tuberculosis. ( 0,559197281936725 )
J Clin Monit Comput - The effect of preoperative consumption of potatoes on succinylcholine-induced block and recovery from anesthesia. ( 0,558282430484612 )
Med Decis Making - Trends in medical end-of-life decision making in Flanders, Belgium 1998-2001-2007. ( 0,556860095543623 )
AMIA Annu Symp Proc - Evaluation of the use of electronic health data to classify four-year mortality risk for older adults undergoing screening colonoscopies. ( 0,556615391414727 )
Int J Med Inform - Prospective pilot study of a tablet computer in an Emergency Department. ( 0,555333904590238 )
J. Comput. Biol. - Easy identification of generalized common and conserved nested intervals. ( 0,553844945120011 )
Comput Math Methods Med - The relationship between tuberculosis and influenza death during the influenza (H1N1) pandemic from 1918-19. ( 0,551290870610995 )
Int J Med Inform - The positive financial impact of using an Intensive Care Information System in a tertiary Intensive Care Unit. ( 0,55060445723012 )
Int J Health Geogr - The effects of summer temperature, age and socioeconomic circumstance on acute myocardial infarction admissions in Melbourne, Australia. ( 0,549123932019404 )
Comput. Biol. Med. - Sensitivity analysis of state-transition models: how to deal with a large number of inputs. ( 0,548453940130541 )
J Telemed Telecare - A pilot trial of telemedicine-assisted, integrated care for patients with advanced amyotrophic lateral sclerosis and their caregivers. ( 0,548117768676852 )
J Clin Monit Comput - Noninvasive assessment of peripheral microcirculation by near-infrared spectroscopy: a comparative study in healthy smoking and nonsmoking volunteers. ( 0,547889539299012 )
J Telemed Telecare - Development of a first-responder dispatch system using a smartphone. ( 0,547442412557318 )
Lifetime Data Anal - Evaluating subject-level incremental values of new markers for risk classification rule. ( 0,546562974551533 )
Telemed J E Health - Telestroke in an urban setting. ( 0,545679439791746 )
BMC Med Inform Decis Mak - The effect of different cardiovascular risk presentation formats on intentions, understanding and emotional affect: a randomised controlled trial using a web-based risk formatter (protocol). ( 0,545144532994223 )
Appl Clin Inform - Introduction of electronic referral from community associated with more timely review by secondary services. ( 0,545079848878232 )
Med Decis Making - Derivation of background mortality by smoking and obesity in cancer simulation models. ( 0,543346340297624 )
BMC Med Inform Decis Mak - Evaluating risk factor assumptions: a simulation-based approach. ( 0,54318808929426 )
J Telemed Telecare - Spanish-speaking patients' engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries. ( 0,542931448015542 )
Int J Health Geogr - A spatial and temporal analysis of notifiable gastrointestinal illness in the Northwest Territories, Canada, 1991-2008. ( 0,54102117509049 )
Med Biol Eng Comput - Bayesian networks: a new method for the modeling of bibliographic knowledge: application to fall risk assessment in geriatric patients. ( 0,53996228134286 )
J. Med. Internet Res. - Web-based cognitive training: patient adherence and intensity of treatment in an outpatient memory clinic. ( 0,53950547045893 )
J Telemed Telecare - A pilot test of a new tool for remote blood pressure monitoring. ( 0,537788045522839 )
J Telemed Telecare - A telepsychiatry transition clinic: the first 12 months experience. ( 0,535677828698537 )
Int J Med Inform - The absence of longitudinal data limits the accuracy of high-throughput clinical phenotyping for identifying type 2 diabetes mellitus subjects. ( 0,535677087208133 )
J Clin Monit Comput - Near real-time notification of gaps in cuff blood pressure recordings for improved patient monitoring. ( 0,532909847406016 )
J. Med. Internet Res. - Assessment of the cost-effectiveness and clinical outcomes of a fourth-generation synchronous telehealth program for the management of chronic cardiovascular disease. ( 0,532873815051937 )
Int J Med Robot - Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases. ( 0,532801355927426 )